MARY AGNES MANTILLA

POUGHKEEPSIE, NY
NPI1609868439
Former NameMARY A. TOR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  068980-1)
Enumeration Date2005-08-18
Last Update Date2017-03-30
Business Address
-- MARY AGNES MANTILLA LCSW
3 NEPTUNE RD STE A18F
POUGHKEEPSIE, NY 12601-5500
Phone number: 845-549-8223
Mailing Address
-- MARY AGNES MANTILLA LCSW
3 NEPTUNE RD STE A18F
POUGHKEEPSIE, NY 12601-5500
Phone number: 845-549-8223
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